39 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... Workup Algorithm History ... Pneumothorax • Pulmonary ... embolism • Cardiac ... ultrasound • CXR
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Sister had MI in ... Differential/diagnosis ... Echocardiogram #A4c #clinical ... #cardiology #McConnells
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
anterior wall MI ... Typically with history ... Serial EKGS in pts ... Sign #EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
cultures/serology: Serial ... heart valves • MRI ... valve pathology, History ... often seen • MRI ... #Endocarditis #comparison
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
CT • Distinct pulmonary ... • DDx: Septic emboli ... Sign #CT #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
may aid in the diagnosis ... of pulmonary embolism ... #photo #CXR #EmergencyMedicine ... #CriticalCare #Radiology ... #Cardiology #HamptonHump
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
CT to rule out pulmonary ... embolism. ... The diagnosis based ... #Clinical #Radiology ... #CTChest #SeptalThickening
X-ray limitations
It’s important to know the limitations of X-rays so we can correctly interpret them in
interpret them in clinical ... POCUS) to CT or MRI ... #Diagnosis #Radiology ... ChestXRay #KUB #CXR ... #Limitations #Comparison
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
Arteries (TGA) on Chest ... - Increased pulmonary ... GreatArteries #TGA #CXR ... #ChestXRay #Radiology ... #Diagnosis #Clinical
Cavitary Lesion with Air-Fluid Level on Chest XRay

70+ year old man with PMH of latent TB
Air-Fluid Level on Chest ... pack year smoking history ... and pleuritic chest ... #ChestXRay #Clinical ... #Pulmonary #Radiology